Individual
GEORGE LARNELL KYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1065 A ST, HAYWARD, CA 94541-4148
(510) 435-7641
Mailing address
1065 A ST, HAYWARD, CA 94541-4148
(510) 435-7641
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
03/14/2023
Last updated
06/15/2023
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